Title Page
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Property Name
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Location
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Primary Site Contact Name and Title
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Primary Site Contact Phone Number and Email
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Secondary Site Contact Name, Title, Phone Number
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Conducted on
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Prepared by
1
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Pictures ( At least 3)
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Floor Number
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Location
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Existing Fixture
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Existing Lamp Base
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Existing Lamp Wattage
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Lamps Per Fixture
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Fixture Count
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Hours of Operation
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Emergency Ballasts?
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Emergency Fixture Count
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Mechanical Cooling-A/C?
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Lift Required?
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Notes
2
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Pictures ( At least 3)
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Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
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Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
3
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Pictures ( At least 3)
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Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
4
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Pictures ( At least 3)
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Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
5
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Pictures ( At least 3)
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Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
6
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Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
7
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Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
8
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Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
9
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Pictures ( At least 3)
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Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
10
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Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
11
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Pictures ( At least 3)
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Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
12
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
13
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Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
14
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Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
15
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Pictures ( At least 3)
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Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
16
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Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
17
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
18
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
19
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Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
20
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
21
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
22
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
23
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
24
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
25
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
26
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
27
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Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
28
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
29
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
30
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
31
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
32
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
33
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
34
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
35
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
36
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
37
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
38
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
39
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
40
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
41
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
42
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
43
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
44
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
45
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
46
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
47
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
48
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
49
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes
50
-
Pictures ( At least 3)
-
Floor Number
-
Location
-
Existing Fixture
-
Existing Lamp Base
-
Existing Lamp Wattage
-
Lamps Per Fixture
-
Fixture Count
-
Hours of Operation
-
Emergency Ballasts?
-
Emergency Fixture Count
-
Mechanical Cooling-A/C?
-
Lift Required?
-
Notes